Lesson Plan – Contraception Part I

Lesson Plan ? Contraception Part I

TOPIC: Contraception Part I

SUBJECT: Life Skills IDEAL NUMBER OF LEARNERS: 40

TARGET?AGE RANGE: 12?18

TIME: 45 minutes

WHAT ADVANCE PREPARATION, IF ANY, IS REQUIRED OF THE TEACHER FOR THIS LESSON?

? Update yourself on birth control method information by reviewing the Contraceptive Chart used with

this lesson. Additionally, you may want to visit a nearby reproductive health clinic to get updated information and possibly samples that can be used for educational purposes. If you do not feel qualified to lead a discussion about contraception, inviting a health professional who is an expert in this area is another option.

LEARNING OUTCOMES: By the end of this lesson learners will be able to:

1) List six highly effective birth control methods. [knowledge]

LIFE SKILLS DEMONSTRATED IN THIS LESSON: 1) Critical thinking skills to evaluate the benefits of various methods of contraception.

RESOURCE MATERIALS FOR TEACHER: [Teacher's Note: If you are able to get any sample birth control methods to include in the envelopes, that is ideal, but pictures from the internet or simply the Contraceptive Chart used with this lesson can suffice if need be.]

? One envelope with a copy of the Contraceptive Chart inside and the word "condoms" written on it. ? One envelope with a copy of the Contraceptive Chart inside and the words "birth control pills" written

on it.

? One envelope with a copy of the Contraceptive Chart inside and the word "IUD Coil" written on it. ? One envelope with a copy of the Contraceptive Chart inside and the word "implant" written on it. ? One envelope with a copy of the Contraceptive Chart inside and the word "injectables" written on it. ? One envelope with a copy of the Contraceptive Chart inside and the word "withdrawal" written on it. ? Chalkboard and chalk with the following four questions written on it:

1) Does the method prevent pregnancy?

2) Does the method prevent STIs and HIV?

3) How effective is the method?

4) What are the possible side effects?

MATERIALS FOR LEARNER: ? Contraceptive Chart--One copy per learner

Lesson Plan ? Contraception Part I

This lesson is enhanced when learners have the following background knowledge: Content from the International Technical Guidance on Sexuality Education--Key Concept 6 ? Sexual and Reproductive Health; 6.1 ? Pregnancy Prevention

PROCEDURE: [Teacher's Note: Despite the physical challenges inherent in using withdrawal effectively, we include it because--withdrawal is more effective than previously thought and withdrawal is common among adolescents, free, and always available. In fact, when withdrawal is used correctly, experts calculate that only four percent of couples are likely to get pregnant in a year. Taking typical human error into account, 22% would get pregnant, which is comparable to the diaphragm, sponge, and other spermicides.

In contrast, over three times as many couples (85%) would get pregnant using no method for a year, making withdrawal significantly more effective than using nothing. It should also be noted that withdrawal reduces the risk of sexually transmitted infections (STI) and the human immunodeficiency virus (HIV) by about half, which is better than most other methods of birth control, excluding condoms.

In contrast to previous assumptions, research shows that for many men, their pre?ejaculate fluid contains no sperm, and that some men will have a small amount of sperm in their pre?ejaculate fluid, which may account for the 4% pregnancy rate in perfect use.]

Step 1) 5 minutes

Introduce the lesson by saying to learners, "You will be learning about contraceptive methods with the purpose of becoming more familiar with them. Whether you are sexually active now or will be at some point in the future, it's important to know how to reduce the risk of unintended pregnancy and STIs. Contraception enables couples to choose if, when, and how many children to have. It's important to know about birth control so that you can prevent STIs and plan for your future."

Step 2) 15 minutes

Ask learners to tell you what methods of birth control they have heard about. As they volunteer ideas write these on the chalkboard if possible. Once their list is complete, make sure it includes the following methods--condoms, birth control pill, IUD coil, implant, injectables, and withdrawal. If they have not offered these methods, add them to the list. Next explain to learners that you will be focusing class time on the methods most often used by young people. [Teacher's Note: Circle condoms, birth control pills, implant, injectables, IUD coil, and withdrawal on the board as you say the following part.] Explain the six methods that you will be focusing class time on to learners.

Step 3) 20 minutes

Ask learners to count off in order to form six groups of no more than six people. If there are more people, add extra groups and duplicate methods for those groups as needed. Assign each small group a method of birth control by handing them an envelope. Explain to learners, "You should study the method of birth control using the materials in the envelope, and then create a three?minute advert with your group to be presented during the next class period. The advert should respond to the four questions on the chalkboard and provide accurate information. You should be ready to perform your advert for the class during our class tomorrow." Explain that the advert can be for television or radio. Give them 15 minutes to study the materials and create and rehearse their advert. [Teacher's Note: While learners are preparing, visit the groups to see if they need help understanding their method and answer questions as needed.]

Lesson Plan ? Contraception Part I

PROCEDURE (CONTINUED): [Teacher's Note: This lesson focuses on a subset of birth control methods, rather than every method, in order to achieve sufficient depth in one class period to support pregnancy and STI prevention. We focus on these six methods based on what methods are most popular and available in the region. The Contraceptive Chart contains information on additional methods and can be used to answer questions and provide supplemental information to the learners.] Step 4) 5 minutes Gather the attention of your learners and explain that during the next class period, the lesson will continue with each small group performing their advert for the class. Explain that during each presentation, the learners who are not presenting will be asked to look for information in the advert to complete a worksheet. Answer any final questions from learners and close the lesson.

KEY MESSAGES OF LESSON: 1) There are many effective methods of contraception. 2) Having sexual intercourse without contraception puts you at greatest risk for unintended pregnancy and STIs, so using contraception is best if you plan to have sex. 3) Condoms are the only form of contraception that protects against both unintended pregnancy and STIs, including HIV.

ASSESSMENT OF LEARNING OBJECTIVES AT CONCLUSION OF LESSON: ? Teachers can collect the Advert Watchers Worksheet for assessment of the learning objectives.

HOMEWORK WITH FOCUS ON FAMILY INVOLVEMENT ACTIVITIES: ? None

POSSIBLE ADAPTATIONS: ? Large class size--See notes listed in Step 3 ? Limited materials/technology--None

Adapted from: Advocates for Youth, Life Planning Education & Family Life and Sexual Health ? High School Version, Lesson 10: Birth Control Methods; Public Health ? Seattle & King County, Revised 2011 health/flash

Contraceptive Chart

METHOD THE IMPLANT

PROGESTIN IUD

HOW WELL HOW TO USE DOES IT WORK?

PROS

> 99%

A health care provider Long lasting (up to 3

places it under the skin years)

of the upper arm

No pill to take daily

It must be removed by a health care provider Often decreases

cramps

Can be used while breastfeeding

You can become pregnant right after it is removed

CONS

Can cause irregular bleeding

After 1 year, you may have no period at all

Does not protect against human immunodeficiency virus (HIV) or other sexually transmitted infections (STIs)

> 99%

Must be placed in uterus by a health care provider

Usually removed by a health care provider

No pill to take daily

May improve period cramps and bleeding

Can be used while breastfeeding

You can become pregnant right after it is removed

May cause lighter periods, spotting, or no period at all

Rarely, uterus is injured during placement

Does not protect against HIV or other STIs

COPPER IUD

> 99%

Must be placed in uterus by a health care provider

Usually removed by a health care provider

May be left in place for up to 12 years

No pill to take daily

Can be used while breastfeeding

You can become pregnant right after it is removed

May cause more cramps and heavier periods

May cause spotting between periods

Rarely, uterus is injured during placement

Does not protect against HIV or other STIs

Contraceptive Chart

METHOD INJECTABLE CONTRACEPTIVES

THE PILL

PROGESTIN?ONLY PILLS

THE PATCH

HOW WELL HOW TO USE DOES IT WORK?

94?99%

Get shot every 3 months

PROS

Each shot works for 12 weeks Private Usually decreases periods Helps prevent cancer of the uterus No pill to take daily Can be used while breastfeeding

91?99% 91?99%

Must take the pill daily Can make periods more regular and less painful

Can improve PMS symptoms

Can improve acne

Helps prevent cancer of the ovaries

You can become pregnant right after stopping the pills

Must take the pill daily Can be used while breastfeeding

You can become pregnant right after stopping the pills

91?99%

Apply a new patch once a week for three weeks

No patch in week 4

Can make periods more regular and less painful

No pill to take daily

You can become pregnant right after stopping patch

CONS

May cause spotting, no period, weight gain, depression, hair or skin changes, change in sex drive

May cause delay in getting pregnant after you stop the shots

Side effects may last up to 6 months after you stop the shots

Does not protect against HIV or other STIs

May cause nausea, weight gain, headaches, change in sex drive-- some of these can be relieved by changing to a new brand

May cause spotting the first 1?2 months

Does not protect against HIV or other STIs

Often causes spotting, which may last for many months

May cause depression, hair or skin changes, change in sex drive

Does not protect against HIV or other STIs

Can irritate skin under the patch

May cause spotting the first 1?2 months

Does not protect against HIV or other STIs

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